Individual
JIN JU LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
98 YORK ST, NEW HAVEN, CT 06511-5602
(203) 623-5915
Mailing address
98 YORK ST, NEW HAVEN, CT 06511-5602
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5920
CT
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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